Eleanor Agosta Rodriguez, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW21921 Issued in FL

Practice address

2113 Ruby Red Blvd Ste D
Clermont, FL 34714-6115

Phone

(352) 394-0573

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elle Agosta Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neumind Wellness Group LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
  • NPI 1396101697
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1356916043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 RESTON PL",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338971626",
            "telephone_number": "727-992-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE D",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "352-394-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELEANOR",
        "middle_name": "AGOSTA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW21921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119164700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLE",
            "last_name": "AGOSTA",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Rodriguez, LMHC
• Ashley R Rodriguez, MSED
• Carmen E Rodriguez, COTA
• Carol O Rodriguez, COTA/L
• Christian Ulis Rodriguez
• Gabriel Edgardo Rodriguez
• Hailey Rodriguez
• Kendra Anne Rodriguez, FNP-C
• Kimberly Rodriguez
• Maricella Rodriguez

• Mental Health Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.